Individual provider Active NPI

Rafael Antonio Burgos Calderon, M.D

  • Nephrology Physician
  • Bayamon, PR
National Provider Identifier
1376653162
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3098 Issued in PR
Practice address
River Town Plaza Local B
50 Ave Los Filtros Bo Juan Sanchez
Bayamon, PR 00959
Phone
(787) 798-5090
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 3098 PR Primary

Addresses

Primary practice location

River Town Plaza Local B
50 Ave Los Filtros Bo Juan Sanchez
Bayamon, PR 00959

Mailing address

Urb Los Frailes Norte
Calle 1 J 13
Guaynabo, PR 00966-3512
Phone (787) 925-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000577 PR Practitioner - NephrologyPractitioner - Internal Medicine 9133215171 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

River Town Plaza Local B
50 Ave Los Filtros Bo Juan Sanchez
Bayamon, PR 00959
Phone (787) 798-5090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Corredor Azul Integral LLC CurrentSince Dec 9, 2024 Accepting new patients

Locations

50 Ave Los Filtros
Bayamon, PR 00959
Phone (787) 378-9001

50 Ave Los Filtros
#B
Bayamon, PR 00959
Phone (787) 798-5090

Interoperability endpoints

  • Direct secure messaging: rafael.burgos@2968.securemail.prognocis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1376653162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOS FRAILES NORTE",
            "address_2": "CALLE 1 J 13",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663512",
            "telephone_number": "787-925-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIVER TOWN PLAZA LOCAL B",
            "address_2": "50 AVE LOS FILTROS BO JUAN SANCHEZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-798-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS CALDERON",
        "first_name": "RAFAEL",
        "middle_name": "ANTONIO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.